GERO Q2 2.2

A new nurse in a long-term care facility is caring for a patient with Parkinson's disease (PD). The nurse should note which one of the following actions related to PD that is observed during the assessment?

. Cogwheel rigidity

When discussing electroconvulsive therapy (ECT) with an older chronically depressed adult and his family, which statement will the nurse use to support this intervention? (Select all that apply.)

A. "This treatment has been shown to be effective in individuals who have not responded well to antidepressant medications."

An older adult is diagnosed with Alzheimer's disease (AD). The nurse knows that this diagnosis is made on the presence of which of the following? (Select all that apply.)

A. A decline from a previous level of functioning C. An insidious onset D. A gradual decline in cognitive abilities

Which older adult is most likely to have normal mental health?

A. An older adult who grieves over the loss of a spouse for 2 years but is traveling again

When planning care for a patient that has a history of alcohol abuse, the nurse recognizes which of the following medications will interact with alcohol? (Select all that apply.)

A. Analgesics B. Antibiotics C. Antidepressant

Alcohol diminishes the effects of what types of medications? (Select all that apply.)

A. Oral hypoglycemic B. Anticoagulant C. Anticonvulsants

You are evaluating the plan of care for an older adult who is alcohol dependent. Which patient documentation indicates the need for follow-up nursing interventions by the nurse?

A. Patient states that he intends to decrease his alcoholconsumption.

How should the nurse respond when an older adult asks, "How much alcohol is good for you?"

B. "Experts in the field recommend only one regular sized drink a day."

An older patient in an adult day care program tells the nurse that, "I'm very stressed because another neighbor passed away." The most therapeutic response by the nurse is:

B. "Tell me what you did when your other neighbor passed away."

Which of the following are true statements about depression or depression therapy? (Select all that apply.)

B. Complaining and not complaining can be symptomatic of depression. D. The nurse should avoid trying to bolster a depressed person's mood.

An older woman recently lost her brother, provides care for her husband who has health needs, and must move to a new location after 35 years in the same home. When she comes to the primary care facility with clinical indicators of influenza, the nurse recognizes which of the following?

B. Crises and stressors can impair physical health.

An older man comes to the emergency department after falling at home, and he reports that he cannot walk without losing his balance. Which steps should the nurse implement for this patient?

B. Determine symptom onset or when he fell at home.

Which of the following are common side effects of Parkinson's disease (PD) and the medications used to treat it? (Select all that apply.)

B. Dyskinesias C. Dystonia

Which factors interfere with the mental health of older adults because of the effect on adaptation? (Select all that apply.)

B. Life events C. Physical illness E. Cognitive impairment F. Developmental transitions

Which assessment finding of an older adult living in an assisted-living facility indicates the highest risk for suicide?

B. Older adult declines company; is preoccupied with lethal weapons

Which of the following behavior modifications should the nurse instruct a patient to accomplish to help reduce the risk factors for an occurrence of a stroke? (Select all that apply.)

B. Stop smoking. C. Control blood pressure. D. Increase physical activity.

Although the older man who was forced to retire from law enforcement has multiple physical complaints, the primary health care provider finds nothing abnormal. After the man tells the nurse that his girlfriend just left him, which of the following is the priority nursing intervention to complete before the older adult leaves?

B. Use direct questions about access to firearms.

An older adult says to the nurse, "I don't know why I can't handle booze like I used to when I was younger." The nurse's response is based on the knowledge that:

B. older adults develop higher blood alcohol levels because of age-related changes that alter absorption and distribution of alcohol.

After completing an admission assessment on a patient who recently had a stroke, the nurse should choose which of the following nursing diagnoses as a priority?

C. Altered cerebral perfusion

Which of the following is a true statement about psychotic behavior in older adults?

C. An older adult with psychotic behavior should be assessed for a variety of causes.

The nurse in a rehabilitation center is caring for a patient who has new-onset stroke with right- side hemiparesis. Which intervention should the nurse implement when caring for this patient?

C. Gives the patient a dry erase board

Which of the following is a true statement concerning suicide among older adults?

D. A major crisis experienced by the patient can contribute to the risk of suicide.

A home health nurse is completing an admission on a patient who recently experienced a transient ischemic attack (TIA). During the assessment, the patient begins to complain of a severe headache and numbness in his left arm. Which action should the nurse take next?

D. Call 9-1-1.

The nurse is caring for a patient who has had a stroke. The nurse is concerned the patient will develop contractures. Which intervention should the nurse implement?

D. Conduct passive range-of-motion movements to the affected extremities.

An older man who had radical surgery for oral cancer is refusing to see visitors and is losing weight despite aggressive nutrition therapy. The nurse assesses this man for ineffective coping related to dysfunctional grieving. Which of the following patient outcomes of nursing care is the most important to implement in response to his mental health status?

D. Exhibits self-confidence in regaining a sense of control

An older woman fell at home while trying to get to the bathroom in time to prevent urinary leakage. Rank the following suitable nursing interventions in order according to the ability of each intervention to prevent patient injury at home in the future. Start with the intervention that is most likely to prevent injury in the home.

D. Explore depression, alcohol abuse, and physiological contributors to falls. C. Instruct the older woman on pelvic floor exercises and other incontinence strategies. B. Perform home safety inspection to identify modifiable safety hazards. A. . Discharge to home while attending an alcohol prevention program.

Which of the following is true about the mental health of older adults?

D. The nurse avoids anti-anxiety medications without an assessment for factors associated with anxiety.

An older adult arrives at the emergency department with a probable diagnosis of a hemorrhagic stroke. The nurse understands, based on the patient's age, that the most likely cause is which one of the following?

D. Uncontrolled hypertension

An older female resident lowers her voice and tells the nurse that another female resident is looking at her behind her back and is going to make her move tonight with a male staff member. Which ideas should the nurse include in the response to this individual?

D. Use the call bell if she becomes frightened.

_____________ is the result of a lesion in the part of the brain adjacent to the primary auditory cortex (Wernicke area).

Fluent aphasia

_______________ is a motor speech disorder that affects the ability to plan and sequence voluntary muscle movements.

Verbal apraxia

Which of the following statements is true about dysarthria?

does not affect intelligence

Persons with _____________ usually understand others but speak very slowly and use a minimal number of words.

nonfluent aphasia